Pericardial Effusion

Question 0

Symptoms of pericardial effusion

Answer 0

Cardiac tamponade
CVP, SBP, with Bari pulse pressure distant hear sounds
Staples pain anxiety syncope
PARODIXICAL PULSE PRESSURE NOT FELT.

Question 1

Pericardial effusion,

Answer 1

Fluid builds in the heart . May accompany per carditis, CHF, HEART SURGERY, cancer trauma, Hemorrage

Question 2

Assessment

Answer 2

Echocardiogram car per caution of chest flat sound over chest

Question 3

Priority nursing intervention

Answer 3

Periocardicentesis tray needs to be right there at all times
CANT DO WITHOUT A DOCTORS ORDERS AND YOU CANT PERFORM SUEGERY

Question 4

Cardinal Signs

Answer 4

Muffled heart sounds
Decreased systolic Bo
Narrow pressure

Question 5

What do you do?

Answer 5

Pericardiocentesis Tray Bedside
Monitor EKG changes
Assess for bleeding 
Send fluid to lab
45-60 degree angle

Question 6

Myocarditis

Answer 6

Inflammation of heart muscle
Rheumatic fever
Hear stroke
Immuno suppressed patients

Question 7

Symptoms of Myocarditis

Answer 7

Dyspnea Orthopnea crackles
Pale skin 
Nausea vomiting anorexia
Tachycardia, heart murmur, JVd 
Light headed and confused

Question 8

Mitral Stenosis

Answer 8

Left V - Left A
Dyspnea, dry cough, wheezing
WEAK PULSE MAY BE IRREGULAR
MURMER, ATRIA FIB, LEADING CAUSE RHEUMATIC ENCOCARDITIS ARRYTHMIA A-FIB

Question 9

Medical Management of Mitral Stenosis

Answer 9

EXHOCARDIOGRAM
TREATMENTS GO PREVENT REOOCCURANCE OF RESPIRATORY INFFECTION INNEFECTIVE CARDITIS 
DECREASE ACTIVITY 
VALVULOPLASTY -repair by opening it 
PTA with BALLOON

Question 10

Mitral valve prolapse

Answer 10

Fatigue no matter how much sleep you get, SOB, palpitations, from atrial or ventricle
EXTRA HEART SOUND CLICK

Question 11

MVP control symptoms

Answer 11

Eliminate caffeine
ETOH,
Smoking
Beta blocker or calcium channel blocker

Question 12

PROPHALYTICS ANTIBIOTICS

Answer 12

MITRAL VALVE PROLAPSE ONLY

Question 13

Aortic Stenosis

Answer 13

Degenerative Calcification

Question 14

AORTIC STENOSIS SYMPTOMS

Answer 14

HEART ANGINA
BP LOW TI NORMAL
DOE
PND (Proximal night time dyspnea) pulmonary edema
CAT PURR- murmur and Cardinal thrill … Vibration

Question 15

AORTIC STENOSIS DIAGNOSED

Answer 15

DONT DO STRESS TEST!!!!!!!! MAY CAUSE V-Tach!!!!!! put your hand on or you may feel a cat purr

Question 16

Special symptoms of AORTIC REGURGE

Answer 16

MURMUR
WIDE PULSE PRESSURE ELEVATED SUSTOLIC AND DECREASED DIASTOLIC BLOOD PRESSURE
WATER HANMER PULSE- QUICK SHAP STROKE

Question 17

MEDICAL MANAGEMENT

Answer 17

DO NOT GIVE BETA BLOCKERS

REPLACE AORTUC VALVE IS TREATMENT OF CHOICE

Question 18

Mitral valve REGURGE

Answer 18

Don’t do a Balloon VALVOLPLASTY